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The Hospital for Sick Children
Endocrinology

Insulin Pump Program

What is an Insulin Pump?

It is a system that is programmed to deliver insulin continuously throughout the day.

  • The system also allows you to bolus insulin at meal times.
  • The system gives you the ability to adapt your diabetes treatment regimen to your lifestyle.

What are the advantages to the Insulin Pump?

The pump is programmable to allow for variable insulin rates throughout the day. This gives better blood sugar control.

  • Only rapid acting insulin is used which gives a more predictable absorption rate.
  • Only one area is used for insulin administration which eliminates different absorption rates from different sites.

What are the disadvantages to the Insulin Pump?

If insulin delivery is interrupted, diabetic ketoacidosis (DKA) can occur quickly.

  • Hypoglycemia is more common when blood sugars are closer to normal levels.
  • Skin irritation may occur.
  • Cost.

How do I get the Insulin Pump?

If you have not yet talked about this with the Diabetes Team, that is your first step. You need to find out which pump is the best one for you. To do this, call each of the following companies to order their free information packages:

MiniMed: 1-800-361-2013
Disetronic: 1-800-915-3698
Animas: 1-800-461-0991
Omnipod (GlaxoSmithKline): 1-855-763-4636
 

  • Once you have decided which pump you want the company will help you find out if insurance plan will cover the cost of the pump and supplies. The pump company will help you get a letter of necessity from your diabetes doctor and be in touch with your insurance company.
  • Once you have made all the above arrangements and you are ready to get started, call Patricia Rego, Information Coordinator at The Hospital for Sick Children, at 416-813-5838 to make your insulin pump appointments.
  • Once you have your appointments please call the insulin pump company to order your pump.

Before the 1st training session:

  • Blood sugars should be tested 4 times daily for 2 weeks, and at 3:00 a.m. once a week.
  • Three day food records must be completed.
  • Family should become familiar with Insulin Pump Therapy manual.

Training Session #1:

  • Assess interest and motivation of patient and family.
  • Discuss routine requirements.
  • Discuss obstacles to pump therapy.
  • Review mechanics of pump functions.
  • Patient is sent home with insulin pump in place with saline infusion  one week.

Training session #2:

  • Review knowledge of diabetes.
  • Review knowledge of carbohydrate counting.
  • Review daily routines.
  • Review mechanics of pump function.
  • Patient is sent home with Insulin Pump in place and functioning.
  • Follow up plans by daily telephone contact is arranged.
  • Clinic visits are expected to occur more frequently (every 1-2 months).